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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON MEDINA

Active Sole Proprietor

SHANNON MEDINA is a Speech, Language and Hearing Specialist healthcare provider located in WEST FORK, Arkansas. NPI 1164682209 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · WEST FORK, AR

Registration Details

NPI Number
1164682209
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2008 (18.133916991489 yrs)
Last Updated
Apr 18, 2011
License
SP1338 (AR)
Sole Proprietor
Yes

Practice Information

Address
363 MCKNIGHT AVE
WEST FORK, AR, 727740000
Browse AR providers · Browse ZIP 72774
Phone
4798393035
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in WEST FORK, AR

Name Credential NPI
CHRISTINA WILLIAMS MS CCC-SLP 1871712265
DONNA SORTERS 1528215191
ANNETTE GOLL 1033369913
MRS. ABBIE ALICE BOLL CCC-SLP 1134459522
KRYSTLE OWEN MS CF-SLP 1104136050
MEREDITH PURIFOY MS CF-SLP 1922352889
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.